The first laparoscopic hepatic anatomical resection was reported by J.J. Azagra in 1994, who performed a left lateral segmentectomy in a patient with a symptomatic adenoma1. An increasing number of anatomical resections, both segmentectomies and hemihepatectomies in the management of benign and malignant entities have been reported since then. The aim of this report is to review the surgical technique of the laparoscopic left hepatic segmentectomy as a minimally invasive option in a patient with left intrahepatic lithiasis.